Individual
ALEXIS NICOLE HACKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S PINELLAS AVE STE QANDH, TARPON SPRINGS, FL 34689-1955
(727) 547-3692
Mailing address
2855 GULF TO BAY BLVD APT 3305, CLEARWATER, FL 33759-4031
(757) 615-7034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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